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1.
Opt Express ; 17(1): 46-54, 2009 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-19129871

RESUMO

Intense ultrashort light pulses induce three dimensional localized phase transformation of diamond. Photoinduced amorphous structures have electrical conducting properties of a maximum of 64 S/m based on a localized transition from sp(3) to sp(2) in diamond. The laser parameters of fluence and scanning speed affect the resultant electrical conductivities due to recrystallization and multi-filamentation phenomena. We demonstrate that the laser-processed diamond with the periodic cylinder arrays have the characteristic transmission properties in terahertz region, which are good agreement with theoretical calculations. The fabricated periodic structures act as metallo-dielectric photonic crystal.


Assuntos
Diamante , Condutividade Elétrica , Cristalização , Cristalografia , Cinética , Lasers , Luz , Modelos Teóricos , Nanotubos de Carbono , Distribuição Normal , Óptica e Fotônica , Espalhamento de Radiação , Propriedades de Superfície , Raios X
2.
Ultrason Sonochem ; 16(3): 367-71, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19004661

RESUMO

The sonolytic hydrolysis of peptides with addition of phenolic reagents to aqueous solutions is described. Sonolysis of an aqueous solution of peptides to which catechol (o-dihydroxybenzene) had been added resulted in hydrolytic products reflecting the amino acid sequence without any side reactions, while sonolysis without any additives resulted in oxidation analytes and degradation products caused by side reactions. Although the use of additives such as resorcinol (m-dihydroxybenzene), hydroquinone (p-dihydroxybenzene) and phenol was also effective in producing sequence related products, several degradation products were produced by side reactions. A characteristic of the sonolysis of peptides is that the N-terminal side of proline, Xxx-Pro, is more susceptible than other amino acid residues to the process. This characteristic of sonolysis is superior to that of acid hydrolysis in which cleavage at the C-terminal side of proline, Pro-Xxx is difficult, and where dehydration products result due to side reactions.


Assuntos
Catecóis/química , Peptídeos/química , Sonicação , Catecóis/farmacologia , Hidrólise/efeitos dos fármacos , Oxirredução , Soluções , Fatores de Tempo , Água/química
3.
Opt Express ; 15(9): 5674-86, 2007 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-19532825

RESUMO

The pressure (or stress) wave generated by focusing a femtosecond laser pulse inside a glass has been considered one of the important factors in determining structures created in the laser focal region. In this paper, a method of the transient lens (TrL) analysis was proposed to characterize the pressure wave. Experimentally, the TrL signal exhibited damping oscillation within 2 ns. Simulations of the TrL signal showed that the shape of the oscillating signal depended on the width and amplitude of the pressure wave. Comparing the observed TrL signal with the simulated one, we estimated these properties of the pressure wave generated after femtosecond laser focusing inside a soda-lime glass.

4.
Opt Express ; 15(25): 16800-7, 2007 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-19550970

RESUMO

To investigate the energy dissipation process after focusing a femtosecond laser pulse inside a zinc borosilicate glass, the time-dependent lens effect in the laser focal region was observed by a transient lens (TrL) method. We found that the TrL signal after 100 ns can be explained clearly by thermal diffusion. By fitting the observed signal, we obtained the phase change due to temperature increase, the initial diameter of the heated volume and the thermal diffusivity. On the basis of the results, the temperature increase and the cooling rate were estimated to be about 1800 K and 1.7X10(8) Ks(-1), respectively. We have also observed the signal change on a 100 ns scale, which can not be explained by the thermal diffusion model. This change was attributed to the relaxation of the heated material.

5.
J Am Chem Soc ; 127(16): 5826-32, 2005 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-15839680

RESUMO

Using oxygen as a paramagnetic probe, researchers can routinely study topologies and protein-binding interfaces by NMR. The paramagnetic contribution to the amide (1)H spin-lattice relaxation rates (R(1)(P)) have been studied for uniformly (2)H,(15)N-labeled FB protein, a 60-residue three-helix bundle, constituting the B domain of protein A. Through TROSY versions of inversion-recovery experiments, R(1)(P) could be determined. R(1)(P) was then measured in the presence of a stoichiometric equivalent of an unlabeled Fc fragment of immunoglobulin (Ig) G, and the ratio of R(1)(P) of the FB-Fc complex to that of free FB [i.e., R(1)(P)(complex)/R(1)(P)(free)] was determined for each observable residue. Regions of helix I and helix II, which were previously known to interact with Fc, were readily identified as belonging to the binding interface by their characteristically reduced values of R(1)(P)(complex)/R(1)(P)(free). The method of comparing oxygen-induced spin-lattice relaxation rates of free protein and protein-protein complexes, to detect binding interfaces, offers greater sensitivity than chemical shift perturbation, while it is not necessary to heavily deuterate the labeled protein, as is the case in cross saturation experiments.


Assuntos
Ressonância Magnética Nuclear Biomolecular/métodos , Oxigênio/química , Proteína Estafilocócica A/química , Deutério , Fragmentos de Imunoglobulinas/química , Imunoglobulina G/química , Modelos Moleculares , Isótopos de Nitrogênio , Oxigênio/metabolismo , Ligação Proteica , Estrutura Terciária de Proteína , Prótons , Proteína Estafilocócica A/metabolismo
6.
Proc Natl Acad Sci U S A ; 98(25): 14571-6, 2001 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-11724951

RESUMO

Recognition of altered self-antigens in tumor cells by lymphocytes forms the basis for antitumor immune responses. The effector cells in most experimental tumor systems are CD8(+) T cells that recognize MHC class I binding peptides derived from molecules with altered expression in tumor cells. Although the need for CD4(+) helper T cells in regulating CD8(+) T cells has been documented, their target epitopes and functional impact in antitumor responses remain unclear. We examined whether broadly expressed wild-type molecules in murine tumor cells eliciting humoral immunity contributed to the generation of CD8(+) T cells and protective antitumor immune responses to unrelated tumor-specific antigens [mutated ERK2 (mERK2) and c-erbB2/HER/neu (HER2)]. The immunogenic wild-type molecules, presumably dependent on recognition by CD4(+) helper T cells, were defined by serological analysis of recombinant cDNA expression libraries (SEREX) using tumor-derived lambda phage libraries screened with IgG antibodies of hosts bearing transplanted 3-methylchoranthrene-induced tumors. Coimmunization of mice with plasmids encoding SEREX-defined murine wild-type molecules and mERK2 or HER2 led to a profound increase in CD8(+) T cells specific for mERK2 or HER2 peptides. This heightened response depended on CD4(+) T cells and copresentation of SEREX-defined molecules and CD8(+) T cell epitopes. In tumor protection assays, immunization with SEREX-defined wild-type molecules and mERK2 resulted in an inhibition of pulmonary metastasis, which was not achieved by immunization with mERK2 alone.


Assuntos
Neoplasias Experimentais/imunologia , Animais , Antígenos de Neoplasias/genética , Autoantígenos/genética , Autoantígenos/imunologia , Linfócitos T CD4-Positivos/imunologia , Linfócitos T CD8-Positivos/imunologia , Epitopos/genética , Feminino , Expressão Gênica , Imunização , Neoplasias Pulmonares/imunologia , Neoplasias Pulmonares/prevenção & controle , Neoplasias Pulmonares/secundário , Camundongos , Camundongos Endogâmicos BALB C , Proteína Quinase 1 Ativada por Mitógeno/genética , Proteína Quinase 1 Ativada por Mitógeno/imunologia , Mutação , Neoplasias Experimentais/genética , Receptor ErbB-2/genética , Receptor ErbB-2/imunologia , Células Tumorais Cultivadas
7.
Thromb Res ; 104(1): 1-6, 2001 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-11583733

RESUMO

We measured the plasma levels of thrombin-activatable fibrinolysis inhibitor (TAFI) activity and antigen in patients with disseminated intravascular coagulation (DIC) to examine the relationship between hypofibrinolysis and the pathogenesis of DIC. TAFI activity and antigen levels in the plasma were both significantly low in patients with DIC. TAFI activity in plasma was correlated with TAFI antigen, indicating that activity and antigen correspond well. The decrease of TAFI activity in DIC may be due to enhanced consumption. Since the plasma thrombin-antithrombin III complex (TAT) level was found to be elevated in DIC, increase of thrombomodulin-thrombin complex generation is suggested in this state. TAFI activity and antigen levels were negatively correlated with TAT and D-dimer, suggesting that the plasma levels of TAFI are reduced by thrombin generation. Since TAFI was not correlated with fibrinogen, plasma-alpha(2)plasmin inhibitor complex (PPIC) and tissue type plasminogen activator/plasminogen activator inhibitor-1 (tPA/PAI-1) complex, TAFI might be a secondary modulator of fibrinolysis. The TAFI activity in plasma was significantly low in patients with infection and in those with organ failure, suggesting that TAFI may play an important role in the mechanism of organ failure in DIC-associated sepsis. In brief, TAFI may play an important role in the pathogenesis of DIC and organ failure.


Assuntos
Carboxipeptidase B2/sangue , Coagulação Intravascular Disseminada/etiologia , Antígenos/sangue , Antitrombina III , Biomarcadores/sangue , Carboxipeptidase B2/imunologia , Estudos de Casos e Controles , Coagulação Intravascular Disseminada/sangue , Produtos de Degradação da Fibrina e do Fibrinogênio/metabolismo , Hemostasia , Humanos , Peptídeo Hidrolases/sangue , Trombofilia/sangue , Trombofilia/etiologia
8.
Rinsho Byori ; 49(8): 813-7, 2001 Aug.
Artigo em Japonês | MEDLINE | ID: mdl-11573293

RESUMO

Soluble fibrin(SF) is formed in the early-activated state of blood coagulation and quantitative measurement of SF shows high potential as a parameter for the diagnosis of suspected disseminated intravascular coagulation(DIC). The aim of the present study is to evaluate the usefulness of a newly developed SF test utilizing SF specific monoclonal antibody(F405). Among hemopoietic and non-hemopoietic tumor patients, 249 patients with suspected DIC were collected. The SF level showed a good correlation with the DIC score and the SF levels in DIC patients were significantly higher than those in s-DIC and pre-DIC patients. Receiver operating characteristic(ROC) analysis also showed that the specificity and sensitivity of the SF assay were higher than those of thrombin-antithrombin complex(TAT). In conclusion, these results indicate that the SF assay is a highly precise method for the diagnosis and screening of DIC stages.


Assuntos
Coagulação Intravascular Disseminada/sangue , Fibrina/análise , Humanos
9.
Clin Appl Thromb Hemost ; 7(3): 229-33, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11441985

RESUMO

In this study, we examined changes in the plasma levels of total plasminogen activator inhibitor-I (PAI-I) and tissue-type plasminogen activator (tPA)/PAI-I complex in patients with disseminated intravascular coagulation (DIC) and in those with thrombotic thrombocytopenic purpura (TTP) to investigate the fibrinolytic function and its relation to organ failure. The plasma levels of total PAI-1 and tPA/PAI-I complex were significantly higher in patients with DIC, pre-DIC, and TTP than in those with non-DIC. The plasma levels of thrombin-antithrombin complex (TAT), plasmin-plasmin inhibitor complex (PPIC), D-dimer, thrombomodulin (TM), total PAI-I, and tPA/PAI-I complex were significantly higher in patients with organ failure than in those without organ failure. The plasma levels of total PAI-I and tPA/PAI-I complex were markedly increased in patients with acute leukemia. The plasma levels of total PAI-I, but not those of tPA/PAI-I complex, were significantly increased in patients with sepsis or with solid cancer. In all cases, total PAI-I or tPA/PAI-I complex was not significantly correlated with any hemostatic marker. Measurement of total PAI-I and tPA/PAI-I complex may be useful in the diagnosis of DIC.


Assuntos
Coagulação Intravascular Disseminada/sangue , Inibidor 1 de Ativador de Plasminogênio/análise , Púrpura Trombocitopênica Trombótica/sangue , Ativador de Plasminogênio Tecidual/análise , Antifibrinolíticos/análise , Antitrombina III/análise , Biomarcadores , Coagulação Intravascular Disseminada/complicações , Coagulação Intravascular Disseminada/diagnóstico , Endotélio Vascular/patologia , Produtos de Degradação da Fibrina e do Fibrinogênio/análise , Fibrinolisina/análise , Fibrinólise , Neoplasias Hematológicas/sangue , Neoplasias Hematológicas/complicações , Humanos , Substâncias Macromoleculares , Insuficiência de Múltiplos Órgãos/sangue , Insuficiência de Múltiplos Órgãos/etiologia , Neoplasias/sangue , Neoplasias/complicações , Peptídeo Hidrolases/análise , Inibidor 1 de Ativador de Plasminogênio/metabolismo , Ligação Proteica , Púrpura Trombocitopênica Trombótica/complicações , Sepse/sangue , Sepse/complicações , Trombomodulina/sangue , Ativador de Plasminogênio Tecidual/metabolismo , alfa 2-Antiplasmina/análise
10.
J Am Chem Soc ; 123(18): 4286-94, 2001 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-11457195

RESUMO

The energetics and structural volume changes after photodissociation of carboxymyoglobin are quantitatively investigated by laser-induced transient grating (TG) and photoacoustic calorimetric techniques. Various origins of the TG signal are distinguished: the phase grating signals due to temperature change, due to absorption spectrum change, and due to volume change. We found a new kinetics of approximately 700 ns (at room temperature), which was not observed by the flash photolysis technique. This kinetics should be attributed to the intermediate between the geminate pair and the fully dissociated state. The enthalpy of an intermediate species is determined to be 61 +/- 10 kJ/mol, which is smaller than the expected Fe-CO bond energy. The volume of MbCO slightly contracts (5 +/- 3 cm(3)/mol) during this process. CO is fully released from the protein by an exponential kinetics from 25 to -2 degrees C. During this escaping process, the volume expands by 14.7 +/- 2 cm(3)/mol at room temperature and 14 +/- 10 kJ/mol is released, which should represent the protein relaxation and the solvation of the CO (the enthalpy of this final state is 47 +/- 10 kJ/mol). A potential barrier between the intermediate and the fully dissociated state is DeltaH(*) = 41.3 kJ/mol and DeltaS(*) = 13.6 J mol(-1) K(-1). The TG experiment under a high wavenumber reveals that the volume expansion depends on the temperature from 25 to -2 degrees C. The volume changes and the energies of the intermediate species are discussed.


Assuntos
Monóxido de Carbono/química , Mioglobina/química , Fotólise , Algoritmos , Animais , Fenômenos Químicos , Físico-Química , Cavalos , Indicadores e Reagentes , Cinética , Lasers , Corantes de Rosanilina , Temperatura
11.
Cancer Genet Cytogenet ; 126(1): 8-12, 2001 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-11343772

RESUMO

We describe very uncommon phenotypic and cytogenetic findings in a 40-year-old female with blast phase of Philadelphia chromosome (Ph)-positive CML. In addition to the t(9;22)(q34;q11) that was detected in all metaphases, a t(11;17)(q23;q21) was identified in 15 of 20 metaphases. Reverse transcription-polymerase chain reaction showed the major and minor bcr/abl fusion transcripts in the cells from a bone marrow (BM) sample. Fluorescence in situ hybridization (FISH) analysis also showed that fusion signals of the bcr and abl probes were found in 95% of blastic cells and in 64% of neutrophils. MLL gene rearrangement was also detected in some blastic cells but not in neutrophils by FISH analysis. Phenotypically, blastic cells expressed mixed lineage antigens such as CD34, CD33, CD13, CD19, CD7, and CD41. Immunogenotypically, some population of BM cells showed monoclonal rearrangements of immunoglobulin heavy chain and T-cell receptor gamma chain genes by Southern blot analysis. Clinical course was aggressive, and therapy was poorly tolerated. Such findings seem to support an association between Ph and an abnormality of 11q23 with poor prognosis, and suggest that the expression of both abnormal genes may be related to this mixed lineage antigen-expressing leukemia.


Assuntos
Antígenos/imunologia , Cromossomos Humanos Par 11 , Cromossomos Humanos Par 17 , Leucemia Mielogênica Crônica BCR-ABL Positiva/genética , Proto-Oncogenes , Fatores de Transcrição , Translocação Genética , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Southern Blotting , Transplante de Medula Óssea , Terapia Combinada , Proteínas de Ligação a DNA/genética , Feminino , Proteínas de Fusão bcr-abl/genética , Genótipo , Histona-Lisina N-Metiltransferase , Humanos , Imunofenotipagem , Hibridização in Situ Fluorescente , Cariotipagem , Leucemia Mielogênica Crônica BCR-ABL Positiva/imunologia , Leucemia Mielogênica Crônica BCR-ABL Positiva/terapia , Proteína de Leucina Linfoide-Mieloide , Reação em Cadeia da Polimerase Via Transcriptase Reversa
12.
Am J Hematol ; 65(3): 210-4, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11074537

RESUMO

Plasma levels of tissue factor pathway inhibitor (TFPI)-activated factor Xa (FXa) complex were measured in patients with disseminated intravascular coagulation (DIC), pre-DIC, and DIC. Plasma levels of plasmin-plasmin inhibitor complex (PPIC), D-dimer, and soluble fibrin monomer (SFM) were significantly higher in patients with DIC than in those with pre-DIC or non-DIC; the levels of these hemostatic markers were significantly higher in patients with pre-DIC than in those with non-DIC. Plasma levels of thrombin-antithrombin complex (TAT) were significantly higher in patients with DIC or pre-DIC than in those with non-DIC. Plasma levels of tissue factor (TF), total TFPI, free TFPI, and TFPI-Xa complex were significantly higher in patients with DIC than in those with non-DIC. Plasma levels of TFPI-Xa complex were significantly increased in patients with pre-DIC as compared to those with non-DIC; however, plasma free TFPI levels were significantly decreased in patients with pre-DIC as compared to those with non-DIC. These findings suggest that free TFPI might be consumed in the pre-DIC state, thereby confirming the activation of the extrinsic pathway. Plasma levels of TFPI-Xa complex were significantly correlated with TF, free TFPI, and total TFPI. Increased plasma TFPI-Xa complex levels might be useful for the diagnosis of DIC or pre-DIC, particularly that occurring by activation of the extrinsic pathway of blood coagulation.


Assuntos
Coagulação Intravascular Disseminada/sangue , Fator Xa/metabolismo , Lipoproteínas/metabolismo , Anticoagulantes/metabolismo , Ensaio de Imunoadsorção Enzimática , Inibidores do Fator Xa , Fibrinolíticos/metabolismo , Humanos
13.
Am J Hematol ; 65(1): 35-40, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10936861

RESUMO

Plasma levels of activated protein C (APC)-protein C inhibitor (PCI) were significantly increased in patients with disseminated intravascular coagulation (DIC), thrombotic thrombocytopenic purpura (TTP), acute myocardial infarction (AMI), pulmonary embolism (PE), or deep vein thrombosis (DVT) and in patients undergoing hemodialysis (HD). Plasma levels of APC-alpha(1)-antitrypsin (AT) complex were significantly increased in patients with DIC and in those with TTP. Plasma levels of PCI were significantly decreased in patients with DIC, non-DIC, or TTP and in those undergoing HD. In the pre-DIC stage, the plasma levels of APC-PCI complex were significantly increased but not those of APC-alpha(1)-AT complex. These data suggest that measurements of APC-PCI complex and APC-alpha(1)-AT complex may be useful for the diagnosis of DIC. After treatment of DIC, the plasma levels of APC-PCI complex and APC-alpha(1)-AT complex were significantly decreased, but not those of PCI. Plasma levels of thrombin-antithrombin complex (TAT), plasmin-alpha(2)-plasmin complex (PPIC), D-dimer, and soluble fibrin monomer (SFM) were markedly increased in patients with DIC or pre-DIC and were moderately increased in patients with non-DIC, TTP, AMI, PE, or DVT and in those undergoing HD. The receiving operating characteristic (ROC) analysis showed that SFM and the APC-PCT complex are useful markers for diagnosis of DIC. The specificity of plasma TAT and PPIC levels was low. The positive rate of APC-PCI complex was higher than 90% with DIC, TTP, AMI, PE, and it was higher than 60% with DVT and HD. Since the APC-PCI complex was elevated not only in patients with venous thrombosis but also in those with arterial thrombosis, components of the protein C pathway might be useful markers for the diagnosis of arterial thrombosis.


Assuntos
Inibidor da Proteína C/sangue , Proteína C/análise , Trombofilia/sangue , Antitrombina III/análise , Coagulação Intravascular Disseminada/sangue , Produtos de Degradação da Fibrina e do Fibrinogênio/análise , Humanos , Infarto do Miocárdio/sangue , Peptídeo Hidrolases/análise , Embolia Pulmonar/sangue , Púrpura Trombocitopênica Trombótica/sangue , Diálise Renal , Trombose Venosa/sangue , alfa 2-Antiplasmina/análise
14.
Clin Appl Thromb Hemost ; 6(3): 144-50, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10898274

RESUMO

We examined activated partial thromboplastin time, kaolin clotting time, mixing with normal plasma in kaolin clotting time, dilute Russell's viper venom time, dilute Russell's viper venom time at high lipid concentrations, anti-phospholipid antibodies, and anti-cardiolipin-beta2-glycoprotein I complex antibody in 135 patients with prolongation of activated partial thromboplastin time and diagnosed 86 patients positive for lupus anticoagulant. The sensitivity of activated partial thromboplastin time and dilute Russell's viper venom time/dilute Russell's viper venom time-high lipid concentrations ratio for lupus anticoagulant were markedly high, but the specificity of activated partial thromboplastin time for lupus anticoagulant was not markedly high. The specificity, but not the sensitivity, of kaolin clotting time-mixing with normal plasma in kaolin clotting time was markedly high. In summary, dilute Russell's viper venom time to dilute Russell's viper venom time-high lipid concentrations ratio gave high sensitivity as well as specificity, being the only assay to confirm this. Of the patients positive for lupus anticoagulant, 25% were positive for anti-phospholipid antibodies and 17% were positive for anti-cardiolipin-beta2-glycoprotein I complex antibody. Of the lupus anticoagulant-positive patients with thrombosis, 45% were positive for anti-phospholipid antibodies, 35% were positive for anti-cardiolipin-beta2-glycoprotein I complex antibody, 60% were positive for both anti-phospholipid antibodies and anti-cardiolipin-beta2-glycoprotein I complex antibody, and only 17% were negative for anti-phospholipid antibodies and anti-cardiolipin-beta2-glycoprotein I complex antibody. These findings suggest that lupus anticoagulant can be diagnosed by dilute Russell's viper venom time/dilute Russell's viper venom time-high lipid concentrations ratio, and that thrombosis in lupus anticoagulant-positive may be predictable from both anti-phospholipid antibodies and anti-cardiolipin-beta2-glycoprotein I complex antibody. Plasma tissue type plasminogen activator level in lupus anticoagulant patients was significantly increased, and plasma tissue type plasminogen activator and fibrin-D-dimer levels in lupus anticoagulant-positive patients with thrombosis were significantly higher than in those without thrombosis, suggesting that the diagnosis of thrombosis by hemostatic markers might be important in lupus anticoagulant.


Assuntos
Anticorpos Antifosfolipídeos/sangue , Autoanticorpos/sangue , Testes de Coagulação Sanguínea , Inibidor de Coagulação do Lúpus/sangue , Adulto , Idoso , Criança , Transtornos de Proteínas de Coagulação/sangue , Transtornos de Proteínas de Coagulação/imunologia , Feminino , Doenças dos Genitais Femininos/sangue , Doenças dos Genitais Femininos/imunologia , Humanos , Lúpus Eritematoso Sistêmico/sangue , Lúpus Eritematoso Sistêmico/imunologia , Masculino , Pessoa de Meia-Idade , Neoplasias/sangue , Neoplasias/imunologia , Tempo de Tromboplastina Parcial , Púrpura Trombocitopênica Idiopática/sangue , Púrpura Trombocitopênica Idiopática/imunologia , Tempo de Coagulação do Sangue Total
15.
Rinsho Byori ; 48(4): 301-7, 2000 Apr.
Artigo em Japonês | MEDLINE | ID: mdl-10810874

RESUMO

We examined various hemostatic molecular markers in patients with disseminated intravascular coagulation(DIC), deep vein thrombosis(DVT), pulmonary embolism(PE), acute myocardial infarction(AMI), cerebral thrombosis(CT) and thrombotic thrombocytopenic purpura(TTP). Global tests were sensitive for DIC but not for pre-DIC. However, hemostatic molecular markers such as soluble fibrin were sensitive for both DIC and pre-DIC. Hemostatic molecular markers were also useful for analysis of DIC in a baboon DIC model. Activated protein C-protein C inhibitor complex and plasminogen activator inhibitor-I were useful for the diagnosis of DVT, PE, AMI or CT. These findings suggests that hemostatic molecular markers are useful for the diagnosis of various thrombotic disorders.


Assuntos
Fibrina/análise , Inibidor 1 de Ativador de Plasminogênio/sangue , Inibidor da Proteína C/sangue , Trombose/diagnóstico , Animais , Biomarcadores/sangue , Modelos Animais de Doenças , Coagulação Intravascular Disseminada/diagnóstico , Humanos , Papio , Sensibilidade e Especificidade
16.
No Shinkei Geka ; 22(6): 583-7, 1994 Jun.
Artigo em Japonês | MEDLINE | ID: mdl-8015682

RESUMO

We report a case of primary spinal intramedullary malignant lymphoma. A 48-year-old man suffered from numbness and weakness of the left leg for 8 months. He was admitted to the hospital with progressive paraplegia and sudden onset of urinary retention. MRI revealed a low intensity mass on T1-weighted image with diffuse enhancement by Gd-DTPA in the thoracic spinal cord. An intramedullary spinal cord tumor was suspected and an urgent laminectomy (C7-Th5) was performed for decompression and confirmation. In the operation, the spinal cord was seen to be diffusely swollen, but no apparent tumor was identified either in color or consistency, and only biopsy was performed. The pathological diagnosis was malignant lymphoma (diffuse medium size-cell type). Investigations excluded the presence of lymphoma in other sites in the central nervous system and in the extraneural organs. We diagnosed a primary spinal intramedullary malignant lymphoma. Postoperative irradiation and chemotherapy were performed. After the irradiation with 16Gy to the tumor and 30Gy to the whole spinal axis, the tumor disappeared on MRI. One month later MRI demonstrated two markedly enhanced lesions in the right frontal lobe white mantle and the corpus callosum. He died of progressive respiratory disturbance 15 months after the beginning of his illness. Primary involvement of the spinal cord in malignant lymphoma is rare. Only 12 cases have been reported. The number of cases of malignant lymphoma in the central nervous system has gradually increased and it must be taken into consideration when diagnosing spinal cord tumors. We are looking forward to developing curative means including chemotherapy and radiotherapy.


Assuntos
Linfoma não Hodgkin/patologia , Neoplasias da Medula Espinal/patologia , Terapia Combinada , Humanos , Laminectomia , Linfoma não Hodgkin/radioterapia , Linfoma não Hodgkin/cirurgia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neoplasias da Medula Espinal/radioterapia , Neoplasias da Medula Espinal/cirurgia
17.
Neurol Med Chir (Tokyo) ; 33(9): 638-42, 1993 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7505405

RESUMO

A 34-year-old female presented with a rare chronic encapsulated intracerebral hematoma associated with an angiographically occult arteriovenous malformation. A neovascularized fibrous capsule containing various stages of intracerebral hematoma formation was removed. These unusual entities mimic brain tumors or abscesses because of gradual growth and slowly progressive neurological deficits. Repeated bleeding or exudation from the capillaries of the capsule may allow expansion of the chronic encapsulated intracerebral hematoma.


Assuntos
Hemorragia Cerebral/complicações , Hematoma/complicações , Malformações Arteriovenosas Intracranianas/complicações , Adulto , Hemorragia Cerebral/cirurgia , Doença Crônica , Feminino , Hematoma/cirurgia , Humanos , Malformações Arteriovenosas Intracranianas/diagnóstico , Malformações Arteriovenosas Intracranianas/cirurgia
18.
Lipids ; 26(12): 1333-5, 1991 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-1819727

RESUMO

The relationship between the occurrence of platelet-activating factor (PAF) and neutrophils in urine from patients with urinary tract infection was examined. PAF was detected in human pyuria, when leukocyte levels reached at least 300 cells/microL (n = 45), but not in normal urine (n = 12). The amount of PAF found in pyuria, measured by platelet aggregation assay, was 0.01 to 13.3 pmol/mL. A close correlation was seen between the amount of PAF present and the number of urinary leukocytes (p less than 0.01, r = 0.70). The leukocytes in pyuria consisted almost entirely of neutrophils (96 +/- 4%, mean +/- S.D.). Our findings suggest that the occurrence of PAF is associated with the accumulation of neutrophils in urine.


Assuntos
Fosfolipídeos/urina , Fator de Ativação de Plaquetas/urina , Piúria/urina , Animais , Cromatografia em Camada Fina , Humanos , Cinética , Éteres Fosfolipídicos/farmacologia , Fosfolipídeos/isolamento & purificação , Fosfolipídeos/farmacologia , Fator de Ativação de Plaquetas/antagonistas & inibidores , Fator de Ativação de Plaquetas/farmacologia , Agregação Plaquetária/efeitos dos fármacos , Compostos de Piridínio/farmacologia , Coelhos
19.
Jpn J Med ; 30(2): 142-5, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1865586

RESUMO

A patient with subarachnoid hemorrhage who exhibited changes suggestive of myocardial infarction by electro- and echocardiography and underwent coronary angiography is reported. Echocardiography demonstrated marked hypokinesis in the left ventricular anterior wall to the septum. Since the possibility of concomitant myocardial infarction could not be excluded, coronary angiography was performed with cerebral angiography. No abnormalities were observed in the coronary arteries, and the myocardial damage was considered to be due to subarachnoid hemorrhage. Echocardiograms showed improvements in left ventricular wall motion within a short time after operation of the intracranial lesion.


Assuntos
Ecocardiografia , Infarto do Miocárdio/diagnóstico , Hemorragia Subaracnóidea/diagnóstico , Angiografia Cerebral , Diagnóstico Diferencial , Eletrocardiografia , Humanos , Aneurisma Intracraniano/complicações , Aneurisma Intracraniano/diagnóstico por imagem , Aneurisma Intracraniano/cirurgia , Masculino , Pessoa de Meia-Idade , Hemorragia Subaracnóidea/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Função Ventricular Esquerda
20.
Am Rev Respir Dis ; 141(6): 1469-73, 1990 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2350088

RESUMO

Platelet-activating factor (PAF) has been reported to play a role in the inflammatory reaction, but the mechanism of PAF in humans is still unclear. We examined the presence of PAF in pleural fluids from 23 patients with pleural effusion and in all cases detected PAF associated with eosinophil and/or neutrophil infiltrations. The amounts of PAF in pleural fluids were, respectively, 340, 50 to 170, and 1,250 to 2,130 fmol/ml for a patient with eosinophilic pneumonia, those with pneumothorax (n = 9), and empyema (n = 3). In contrast, patients with tuberculous pleuritis (n = 2), lung edema (n = 3), or malignant disease (n = 5) had no detectable amounts of pleural fluid PAF (less than or equal to 10 fmol/ml). The amount of PAF showed a close correlation with the numbers of eosinophils and neutrophils in the pleural fluids. Furthermore, PAF was mostly detected in the cellular fractions, and the molecular species of PAF from the patients with empyema were almost consistent with those of PAF generated by human blood neutrophils. These results indicate that neutrophils and, presumably, eosinophils were the cellular source of PAF in the pleural fluids in the pathologic state of inflammation.


Assuntos
Eosinófilos/metabolismo , Neutrófilos/metabolismo , Fator de Ativação de Plaquetas/metabolismo , Derrame Pleural/metabolismo , Adulto , Idoso , Quimiotaxia de Leucócito , Empiema/metabolismo , Feminino , Humanos , Contagem de Leucócitos , Masculino , Pessoa de Meia-Idade , Derrame Pleural/patologia , Pneumotórax/metabolismo , Eosinofilia Pulmonar/metabolismo
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